Application to Work With Me

I acknowledge that this application is related to working with Regina on her online businesses.

Name

Email Address

City, State, & Country

Phone Number

Facebook URL (if applicable)

Why do you want to start an online business?

Are you currently already involved in any type of online business? Are you currently already involved in any type of online business? Yes No

(If Yes) Are you looking to leave your current company or add to it? Please explain your answer.

What are your 6 month goals?

What are your 1 year goals?

Ideally, how much would you like to make a month?

Realistically, how many hours a week are you able and willing to put into your business?

How much money do you have to invest in the business opportunity today?

Is there anything else you'd like to communicate with me? (e.g., anything else about you I should consider as I evaluate your application)

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